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Updated: Jul 1, 2026

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Functional Magnetic Resonance Imaging (fMRI) of the Visual Cortex with Wide-View Retinotopic Stimulation
Published on: December 8, 2023
[Homonymous visual field defect in established migraine with aura].
M Kynigopoulos1, A Tzamalis, T Schlote
1Augenzentrum der Klinik Pallas, Olten, Schweiz. mkynigopoulos@yahoo.com
Summary
A patient experienced visual field defects and headaches due to a cerebrovascular event linked to an open foramen ovale. Closing the foramen resolved the migraine attacks, highlighting a potential treatment pathway.
Area of Science:
- Neurology
- Ophthalmology
- Cardiology
Background:
- A 48-year-old male presented with acute visual field defects and headache.
- Ophthalmological evaluation was requested to investigate the visual disturbance.
Observation:
- Diagnostic work-up revealed a cerebrovascular insult.
- The patient had an open foramen ovale and a history of migraine with aura.
Findings:
- The open foramen ovale was identified as a potential cause for the cerebrovascular insult.
- Successful closure of the foramen ovale led to the complete resolution of migraine attacks.
Implications:
- This case suggests a link between patent foramen ovale and migraine with aura.
- Percutaneous closure of a patent foramen ovale may be an effective treatment for specific migraineurs.
- Further research is warranted to explore this association in a larger patient cohort.
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